{"created":"2023-06-19T11:24:12.626857+00:00","id":4889,"links":{},"metadata":{"_buckets":{"deposit":"253c2435-79eb-4089-ad1f-78840940a5fb"},"_deposit":{"created_by":1,"id":"4889","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"4889"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004889","sets":["7","7:23"]},"author_link":["15105","15104","15106","15101","15103","15102"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-07-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"35","bibliographicPageStart":"33","bibliographicVolumeNumber":"14","bibliographic_titles":[{"bibliographic_title":"名寄市立病院医誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"64歳男。交通事故により受傷した。胸部外傷はなかったが、低酸素血症、腹部CT上フリーエアーを認め、消化管穿孔、腹腔内出血の診断で緊急手術を行った。気管挿管時に食残渣を認め、酸素化能低下の継続、胸部X線での右全肺野透過性低下より誤嚥性肺炎と診断した。手術中よりシベレスタットナトリウムを0.2mg/kg/hrで投与開始し、小腸切除を行った。手術終了時もPaO2/FiO2比(P/F)151と酸素化傷害が継続していたため、挿管・人工呼吸管理の状態で帰室した。シベレスタットナトリウム投与、抗生剤投与、輸液療法を継続し、炎症所見の沈静化を認めた。動脈血ガス所見は第4病日よりP/F 300以上となり、胸部X線所見も次第に改善した。第7病日には抜管してシベレスタットナトリウム投与を終了し、その後独歩退院した。","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_relation_27":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"2007010076","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1340-2749","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2007010076"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"410"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"210"}]},"item_5_text_7":{"attribute_name":"著者 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